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靶向死后计算机断层扫描心脏血管造影术:概念验证。

Targeted post-mortem computed tomography cardiac angiography: proof of concept.

机构信息

East Midlands Forensic Pathology Unit, Robert Kilpatrick Building, Level 3 Leicester Royal Infirmary, Leicester LE2 7LX, UK.

出版信息

Int J Legal Med. 2011 Jul;125(4):609-16. doi: 10.1007/s00414-011-0559-4. Epub 2011 Feb 24.

DOI:10.1007/s00414-011-0559-4
PMID:21347686
Abstract

With the increasing use and availability of multi-detector computed tomography and magnetic resonance imaging in autopsy practice, there has been an international push towards the development of the so-called near virtual autopsy. However, currently, a significant obstacle to the consideration as to whether or not near virtual autopsies could one day replace the conventional invasive autopsy is the failure of post-mortem imaging to yield detailed information concerning the coronary arteries. To date, a cost-effective, practical solution to allow high throughput imaging has not been presented within the forensic literature. We present a proof of concept paper describing a simple, quick, cost-effective, manual, targeted in situ post-mortem cardiac angiography method using a minimally invasive approach, to be used with multi-detector computed tomography for high throughput cadaveric imaging which can be used in permanent or temporary mortuaries.

摘要

随着多探测器计算机断层扫描和磁共振成像在尸检实践中的日益使用和普及,国际上一直在推动所谓的近虚拟尸检的发展。然而,目前,对于是否可以有一天用近虚拟尸检来替代传统的有创尸检,一个重要的障碍是死后成像未能提供有关冠状动脉的详细信息。迄今为止,法医文献中尚未提出一种经济高效、实用的解决方案,以允许高通量成像。我们提出了一份概念验证文件,描述了一种简单、快速、经济高效、手动的、靶向性的原位死后心脏血管造影方法,该方法使用微创方法,与多探测器计算机断层扫描结合使用,可用于高通量尸体成像,可用于永久性或临时停尸房。

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Current status of routine post-mortem CT in Melbourne, Australia.澳大利亚墨尔本常规尸检CT的现状
Forensic Sci Med Pathol. 2007 Sep;3(3):226-32. doi: 10.1007/s12024-007-9006-8. Epub 2007 Oct 10.
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Multi-phase post-mortem CT angiography: development of a standardized protocol.多期死后 CT 血管造影:标准化方案的制定。
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Development of a protocol for standardized use of a water-soluble contrast agent with polyethylene glycol in post-mortem CT angiography.制定死后 CT 血管造影中使用水溶性造影剂和聚乙二醇的标准化方案。
Int J Legal Med. 2024 Jul;138(4):1437-1446. doi: 10.1007/s00414-024-03218-y. Epub 2024 Apr 3.
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